Ingaba umntwana wakho uyala ukutya ngomlomo? Kusenokuba kungenxa yokungathandi ukutya ngomlomo!

Ngaba umntwana wakho akafuni ukutya ngomlomo? Ngaba uyakhala, ujonga kude, okanye ubambe umhlathi wakhe xa uzisa ukutya okanye ibhotile emlonyeni wakhe? Kuqhelekile ukuba iintsana zenze oku ngamanye amaxesha. Nangona kunjalo, ukuba uyaqhubeka nokwala ukutya ngomlomo, isenokuba yimeko ebizwa ngokuba 'yi-oral aversibility'. Makhe sithethe ngale nto ngokweenkcukacha namhlanje, kuba inokuchaphazela ukondleka komntwana wakho kunye nophuhliso lwakhe.

Yintoni le (Ukuthetha Ngokungathandi)? Ngamafutshane...

Ngamafutshane, i-Oral Aversion kuxa umntwana wakho efuna ukutya, kodwa engavumi ukutya. Cinga ngayo njengokungakwazi ukutya nokuba ulambile. Isizathu esiphambili soku kukoyika okuvela kumava angathandekiyo anxulumene nomlomo kwiintsuku zokuqala zobomi bomntwana. Njengokuba ukuba wawusoyika into ethile xa wawungumntwana, olo loyiko luya kubuya xa uyibona kwakhona. Ukuba le meko ayinyangwa ngokukhawuleza, umntwana unokuba neengxaki ezingaphezulu ezinxulumene nokondla.

Ukuba umntwana wakho ubonakalisa naziphi na kwezi mpawu, kubalulekile ukubona ugqirha wezilwanyana ngokukhawuleza ukuze akunike iingcebiso, kuba ezi zinto zinokuba mandundu ukuba azilawulwa kakuhle.

Zithini iimpawu zomntwana one-Oral Aversion?

Ukuba umntwana wakho wenza ezi zinto, oko kungaba luphawu lokungathandi ukuthetha:

• Xa into ethile (ukutya, ibhotile, amayeza) iziswa emlonyeni wabo , bayakhala, bajonge kude.
• Xa uzisa into emlonyeni wakho , ukhupha ulwimi lwakho uze wenze ngathi uyayityhala.
• Kwakamsinya nje ukuba into ichukumise imilebe yakho, uvala umlomo wakho ngokuqinileyo.
• Iyala ukubambelela ngendlela efanelekileyo, nokuba incancisa okanye incancisa ibhotile.
• Ngamanye amaxesha utya ukutya ngeminwe yakhe aze akutye yedwa, kodwa ukuba uzama ukumnika ukutya, akavumi.

Kuqhelekile ukuba iintsana zingathandi ukutya kwaye zijonge kude nokutya ngamanye amaxesha. Akukho nto ifanele ixhalabise ngayo. Nangona kunjalo, kwimeko ebizwa ngokuba yi-Oral Aversion, ezi zinto zenzeka rhoqo nangokuqhubekayo. Ukuba unamathandabuzo malunga noku, ugqirha womntwana wakho unokugqiba ukuba yinto enzulu okanye akunjalo.

Kutheni iintsana zikhula nale meko ibizwa ngokuba yi-Oral Aversion?

Ukungathandi ukuthetha ngomlomo kwenzeka kuba iintsana zilindele ukuba kwenzeke into embi xa zifaka into emlonyeni wazo. Oku kuthetha ukuba zikufundile oku kumava angathandekiyo aphindaphindwayo ngomlomo wazo. La mava angathandekiyo aquka:

• Unyango lwezonyango oluhlala lubandakanya ukusetyenziswa kweetyhubhu, nokuba kukondla umntwana okanye ukumnceda aphefumle (umz., ukondla ngetyhubhu yempumlo, ukufaka ityhubhu yokuphefumla).
• Ezinye zeengxaki zempilo ezinxulumene nokutya (umz., ukuhlanza ubisi, umphimbo obuhlungu).
• Ukuba neengxaki zokulawula umlomo okanye ukuginya .

Khawucinge nje, umntwana kaNiluka wazalwa ngaphambi kwexesha. Ngoko ke, ngenxa yokuba umntwana wayenengxaki yokuphefumla, kwafuneka afakwe ityhubhu kangangeentsuku ezimbalwa, oko kukuthi, aqhagamshelwe kumatshini obizwa ngokuba yi-"Mechanical ventilation". Emva koko, ngenxa yokuba wayenengxaki yokusela ubisi, kwafuneka ondliwe ngetyhubhu. Ngenxa yamava anje, umntwana unokuba noloyiko kunye nemvakalelo engathandekiyo malunga noko umlomo wakhe ukutshoyo. Kamva, xa ezama ukumondla ngomlomo, umntwana usenokukhumbula loo mava angathandekiyo akudala aze angavumi ukutya.

Ngubani osengozini enkulu yokuba nenzondo yomlomo?

Iintsana ezinezi meko zilandelayo zinokuba nethuba elikhulu lokufumana i-Oral Aversion:

• Iintsana eziye zafumana unyango lweengxaki zokuphefumla. Umzekelo: ukufakwa kwetyhubhu, ukungena komoya ngomatshini, okanye i-tracheostomy (ukufakwa kwetyhubhu kwi-windpipe ngomngxuma entanyeni).
• Iimeko zempilo ezibangela iingxaki ekutyeni, ezifana nesifo se-gastroesophageal reflux (GERD).
• Ukuba novakalelo (ukunganyamezelani) nento ethile esebisini lwebele okanye kwifomyula.
• Iimeko ezinxulumene nomphimbo. Umzekelo, ukudumba komqala (esophagitis), iintlungu xa uginya (odynophagia), okanye ubunzima bokuginya (dysphagia).
• Iimeko ezibangela iingxaki ngokulawula okanye ukulungelelanisa izihlunu, ezifana ne -cerebral palsy.
• Iingxaki zemfuza. Umzekelo: `(Down syndrome)` okanye `(Moebius syndrome)`.
• Ubunzima bokuqaphela indlala ngenxa yokutya ixesha elide okanye ukugula kakhulu kwasebuntwaneni.
• Ezinye iimeko zokuhlukana kwemithambo-luvo, ezifana ne-autism spectrum disorder, zinokwenza abantwana babe nomsindo kakhulu kwiimvakalelo ezithile, njengokuchukumisa.

Ziziphi iingxaki ezinokubakho ngenxa ye-Oral Aversion?

Iintsana ezinengxaki yomlomo zinokuba neengxaki ezifana nezi:

• Ukungondleki kakuhle okanye ukukhula okukhawulezileyo.
• Isidingo sesondlo sokutya.
• I-pneumonia yokuphefumla ibangelwa kukutya okanye ulwelo olungena kwindlela yomoya .

Uphando lubonise ukuba kukho "ixesha lokungena" apho iintsana zinokufunda ukutya. Ukuba azikufundi oko ngelo xesha, kunokuba nzima ukukufunda kamva.

Kwakhona, ukuba nenzondo yomlomo kwasebuntwaneni kunokunyusa umngcipheko wokuba nezinye iingxaki zokutya okanye zokutya kamva ebomini. Ingxaki yokuphepha/yokuthintela ukutya ngomnye wemizekelo enjalo.

Nangona ezi ngxaki zinkulu, zinokunyangwa. Kwakhona, ukuxilongwa kwangoko kunye nonyango kunokunciphisa umngcipheko wezi ngxaki.

Ungayiqaphela njani le meko (Ukuthetha Ngomlomo)?

Ugqirha wezingane okanye omnye ugqirha ofanelekileyo unokuxilonga ukungafuni ukuthetha ngomlomo ngokukhupha ezinye izizathu. Oku kunokubandakanya ukwenza uvavanyo olwahlukeneyo nokubuza imibuzo malunga nembali yempilo yomntwana wakho, imeko-bume yasekhaya, kunye nendlela atya ngayo umntwana wakho.

Ngenxa yoku, iimvavanyo ezinje ngezi zinokwenziwa:

• Ukubeka esweni nokuvavanya indlela ukutya okuphakelwa ngayo.
• Uvavanyo lwelabhoratri, umz. uvavanyo lwegazi, uvavanyo lokusebenza kwe-thyroid.
• Iiskeni zomfanekiso zomntwana, ezifana ne-fluoroscopy okanye i-MRI.
• Iinkqubo zokuxilonga, ezifana ne-`(Upper endoscopy)` (uvavanyo lwe-esophagus kunye nesisu ngetyhubhu enekhamera) okanye `(Esophageal manometry)` (ukuvavanya ukusebenza kwe-esophagus).

Iphathwa njani i-Oral Aversion?

Ukunyanga ukungathandi ukuthetha kufuna indlela yokusebenzisana neqela . Ugqirha wezingane womntwana wakho, kunye nezinye iingcali ezifana nengcali yezifo zolwimi lokuthetha okanye ingcali yezonyango zomsebenzi, baya kusebenza nawe ukunceda umntwana wakho oyise olu loyiko. Akukho sicwangciso sonyango esifanelekileyo kubo bonke. Izicwangciso zonyango zihlala zilungiselelwe iimfuno zomntwana wakho kunye nezinto azithandayo.

Unyango lunokubandakanya enye okanye ezingaphezulu kwezi zilandelayo:

• Ukubonelela ngamava amnandi omlomo: Oku kufundisa umntwana ukuba ayizizo zonke izinto zonyango lomlomo ezimbi. Umzekelo, ukuphulula izidlele nemilebe yomntwana ngobunono, nokuchukumisa kancinci indawo yomlomo ngelixa edlala.
• Ukuphuhlisa izakhono: Ukutya kufuna ukulungelelaniswa kunye nesakhono. Ukunceda umntwana wakho afunde kwaye aziqhelise ezi zakhono kuya kwenza kube lula kuye ukutya. Ukuba ukutya kulula kuye, akunakwenzeka ukuba angayithandi loo nto.
• Ukubonisa umntwana wakho ukutya okumnandi: Nje ukuba oogqirha bagqibe ukuba zeziphi iincasa azithandayo umntwana wakho, banokumfundisa umntwana wakho ukuba akonwabele ukutya. Ngamanye amaxesha, baqala ngokufaka ithontsi elincinci lencasa kulwimi lwabo baze balutye kancinci.
• Cwangcisa kwaye ulandele iinkqubo ezintsha: Ukwenza iinkqubo ezintsha kunceda umntwana wakho afunde kwakhona oko akulindeleyo. Kubalulekile ukugcina ukuhambelana kwezinto ezifana namaxesha okutyisa kunye neendawo zokutyisa.
• Ukuzifundisa wena kunye nabanye abanakekeli: Ukubonisa umntwana wakho indlela yokumondla ngeyona ndlela ifanelekileyo kunokumnceda ukuba anqobe oku kungafuni. Kungaqinisa ubudlelwane phakathi kwakho nomntwana wakho.

Khumbula, kuqhelekile ukuziva ukhathazekile kwaye uxhalabile njengoko umntwana wakho ethatha ixesha ukuba aphile kule meko. Nangona kunjalo, unyango lokungathandi ukutya ngomlomo ludla ngokufuna ixesha kunye noncedo lweengcali ezahlukeneyo. Le meko inokuphetshwa ngokuba nomonde nokulandela imiyalelo enikwe ngugqirha.

Iyintoni imbonakalo yale meko (Oral Aversion)?

Ithemba lokuba umntwana angathandi ukuthetha ngomlomo lihlala lilungile, ingakumbi ukuba lifunyaniswe lize linyangwe kwangethuba. Uninzi lweentsana lunokuchacha ngokupheleleyo kule meko.

Ngaba ukungafuni ukuthetha ngomlomo kungathintelwa?

Ukungathandi ukuthetha ngomlomo akunakuthintelwa nge-100%. Nangona kunjalo, ababoneleli ngeenkonzo zonyango banokuthatha amanyathelo okuthintela oku. Ukuba kukho izinto ezibeka umntwana wakho emngciphekweni wokudinga unyango olukhethekileyo kwasebuntwaneni, amanyathelo okuthintela anokuqaliswa kwangethuba.

Kukwakho nezinto onokuzenza ukunciphisa amathuba okuba oku kwenzeke. Ugqirha womntwana wakho angakuxelela okungakumbi ngale nto. Umzekelo, yenza imisebenzi yomlomo (njengokuhlamba ubuso bomntwana wakho nokuxukuxa amazinyo akhe) ibe mnandi kangangoko.

Ingaba i-Oral Aversion iyafana ne-Food Aversion?

Hayi, ezi zizinto ezimbini ezahlukeneyo. Ukungathandi ukuthetha yinto eqhelekileyo. Kuthetha ukuba umntwana uza kuzama ukumelana nokuthintela nantoni na esondela emlonyeni wakhe, kuquka nokutya.

Nangona kunjalo, ukungathandi ukutya kunokuba yinto ethile. Oko kukuthi, umntwana wakho usenokungakuthandi ukutya okuthile, ivumba elithile, okanye nje indlela ukutya okumile ngayo. Umzekelo, abanye abantwana basenokuthanda ukutya okumanzi okufana ne-porridge, kodwa basenokungakuthandi ukutya okuqinileyo.

Kuyaqondakala ukuba ungaziva ukhathazekile kwaye ulusizi xa umntwana wakho engavumi ukutya. Usenokude ulingeke ukuba uzibeke ityala. Kodwa khumbula, ukungathandi ukuthetha yinto eqhelekileyo. Enyanisweni, uphando lubonise ukuba malunga nomntwana omnye kwabababini uyahlangabezana nako (nangona uninzi lwabo lubuthathaka).

Ukuba ucinga ukuba umntwana wakho unengxaki enkulu yokungathandi, ngokuqinisekileyo thetha nogqirha womntwana wakho. Angachaza okwenzekayo kunye nezinto ezifunwa ngumntwana wakho. Angakunika neengcebiso ngezinto ongafanele uzenze. Emva koko ungamnika umntwana wakho kanye oko akufunayo de nobabini nidlule kweli xesha linzima.

Amanqaku abaluleke kakhulu (Umyalezo oya nawo ekhaya)

Kulungile, ngoko ke, ngokwezinto esithethe ngazo, ezi zezona zinto zibalulekileyo ekufuneka uzikhumbule:

• Ukungathandi ukutya ngomlomo yimeko apho umntwana engavumi ukutya ngomlomo aze abonise uloyiko lwezinto ezithethwa ngomlomo. Oku kwahlukile kokungathandi ukutya okuqhelekileyo.
• Oku kusenokuba kungenxa yamava angathandekiyo omlomo kwasekuqaleni .
• Basenokubonisa iimpawu ezifana nokukhala, ukujonga kude, nokubamba imihlathi yabo xa beziswa into emlonyeni wabo.
• Ukuxilongwa kwangoko kunye nonyango kubaluleke kakhulu, kungenjalo iingxaki ezifana nokungondleki kakuhle zinokubakho.
• Unyango lubandakanya uncedo lweqela, njengogqirha wabantwana, ingcali yokuthetha, kunye nengcali yokunyanga iingxaki zomsebenzi.Kusenokuba yimfuneko.
• Ngomonde nangokulandela iindlela ezifanelekileyo, le meko inokuguqulwa rhoqo.
• Ukuba unamathandabuzo malunga noku, okanye ukhathazekile ngendlela umntwana wakho aziphethe ngayo, qiniseka ukuba ubonana nogqirha. Awuwedwa, kwaye kukho iingcali ezinokukunceda.

Khumbula, umntwana ngamnye wahlukile. Ngoko ke, ungazithelekisi nabanye abantwana. Eyona nto ibalulekileyo kukuphatha umntwana wakho ngothando nangomonde, kwaye ulandele imiyalelo kagqirha.

Ukungathandi ukutya ngomlomo , umntwana akafuni kutya, ukwala ukutya ngomlomo, iingxaki zokutyisa usana, uloyiko lokutya, umntwana akafuni ukusela ubisi, ubunzima bokutya ebantwaneni